Organization Active NPI

Avalon Home Health Inc

  • Home Health Agency
  • Sacramento, CA
National Provider Identifier
1629359674
Registry record updated Sep 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550001400 Issued in CA
Legal business name
AVALON HOME HEALTH INC
Practice address
777 Campus Commons Rd
Suite 200
Sacramento, CA 95825-8309
Phone
(415) 812-2955
NPI assigned
Sep 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Aleksander Rudakov
Title
President
Phone
(415) 812-2955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550001400 CA Primary

Addresses

Primary practice location

777 Campus Commons Rd
Suite 200
Sacramento, CA 95825-8309

Mailing address

2880 Zanker Rd Ste 203
San Jose, CA 95134-2122
Phone (415) 812-2955

National Provider Directory

National Provider Directory
Tax ID family
Avalon Home Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315180800000",
    "number": "1629359674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 ZANKER RD STE 203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342122",
            "telephone_number": "415-812-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CAMPUS COMMONS RD",
            "address_2": "SUITE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958258309",
            "telephone_number": "415-812-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-05",
        "last_updated": "2011-09-05",
        "status": "A",
        "authorized_official_last_name": "RUDAKOV",
        "authorized_official_first_name": "ALEKSANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-812-2955"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.